2nd Bridgend Cub Scout Pack
Dear Parents,
Attached are details and the location of the Gorwelion Camp which is taking place from Friday
22nd May until Monday 25th May. Cubs need to be dropped off there at 6.00 – 6.30pm on the
Friday and picked up at 2.00pm on the Monday. They need to arrive in uniform and have had
their tea prior to arrival as the first meal we will provide is supper.
Our home contact for the camp (to be contacted in emergencies) can be contacted on
07743741325.
During the camp Pete or Myself can be contacted on 07932223545 or 07989673191
Please can you complete the attached medical & permission forms and return them together
with the balance of £25.00 next Wednesday (13th) as without them your son/daughter will not
be able to attend.
As there is nothing to spend pocket money on…. they will not need any!
Any questions please speak to me
Many thanks
Maggie Richards
Akela
I give my permission for .................................................................... to attend the
camp at Gorwelion from Friday 22nd May until 2pm on Monday 25th May & the following
information is supplied for the camp leader’s information.
Date of Birth _______________
National Health number
___________________
Name & Address of own Doctor:
___________________________________________________________________
___________________________________________________________________
During the camp I can be contacted in an emergency at:
(address)___________________________________________________________
________________________________________ tel _______________________
If it becomes necessary for _________________________________________ to receive
medical treatment and I cannot be contacted by telephone or any other means to
authorise this, I hereby give my general consent to any necessary medical treatment
and authorise the Scouter in charge of the camp to sign any document required by the
hospital authorities
Signature of Parent __________________________________ date _____________
Please print name ______________________________________________________
Continued overleaf
Allergies
Is the participant allergic to ANYTHING eg medicines, food, elastoplast? If YES Please give details
Participants Own Medication List
Please list ALL medication, regular or occasional, with dosage and storage instructions. It is
ESSENTIAL that the participant brings enough regular medication for the duration of the camp, in their
original containers, clearly labelled with name, product and dosage.
Significant Medical History
Please indicate below any Medical History that we should know about, particularly any current
treatment or any treatment, surgery or investigations within the last six months. Please include hospital
and surgeon details if appropriate.
Has the participant come into contact with any contagious disease within the last 2 weeks or travelled
from a country where any contagious diseases are endemic? IF THE SITUATION CHANGES AFTER
THIS FORM IS COMPLETED PLEASE UPDATE THE CAMP LEADER.
Date of last Tetanus Vaccine:
Medication
Can he / she take any of the following should the need arise?
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Paracetamol (Tablets and Elixir)
Ibuprofen
Chlophiramine, e.g. Piriton (Tablets and Medicine) for allergies
Antacid, e.g. Gaviscon, Rennies (Tablets and Medicine)
Simple Linctus (Cough mixture)
1% Hydrocortisone Cream (not on faces)
Insect Bite Cream, e.g. Waspeze, Anthisan,
Calamine Lotion
Loperamide, e.g. Immodium.
Please delete any of the above medication which should NOT be given.
Signature: __________________________________________________Date:________________
The information contained in this form will be held confidentially in accordance with the Data Protection
Act and guide lines issued by The Scout Association.